Michelle Christine Fitzpatrick, FINISH OPTICLAL TECH
Individual provider Active NPI Other Technician · Boring, OR
NPI 1972878643 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1972878643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 34175 SE Brooks Rd
Boring, OR 97009-8710 - Phone
- (503) 954-5588
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
34175 SE Brooks Rd
Boring, OR 97009-8710
Mailing address
PO Box 352
Boring, OR 97009-0352
Phone (503) 954-5588
Other providers in Boring, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.